RAYMUND RAMIRO BANZUELA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017565

License Status

NOT RENEWED

Business

First Name

RAYMUND

Middle

RAMIRO

Last Name

BANZUELA

Business Name

RAYMUND RAMIRO BANZUELA

Original Issue Date

12/30/2009

Effective Date

08/29/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025